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<br />~ iii iiiiiiiiiiiiiii <br />Permittee Name: Robert Gerner <br />Permit No: M-81-108- <br />Operation Name: PABLO VASQUEZ STONE <br />Anniversary Date: 08 / 29 / 85 <br />i `~ <br />110 and 111 EncToeffre <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclos/ed are: (Check_space(s) b_e.low)_ _ <br />r/ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />!/ Annual Report <br />Remarks: C/'~*a cd /~oT.2e, a7 a,T~..v` ~ ~e..T~ ~ R~.,.av <br />So~ax-ems <br />h,.. ~ ~ Q <br /> <br />~5+.»..c <br />fir, OI /9'~~~ <br />~~~ ~ ~~ <br />u ati+ w ~ - .~ J <br />~,,~ o~~~. 3/ <br />7D />,d 9 c~ ~ f' ~ ~ ~ <br /> <br />s; <br />4 <br />AUG 2 E iy~~~ <br />... <br />I~A~~ti _c,~ ± ,..~ <br />;iECLAiViF1TIfJ~ti DfVI51aR <br />